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Chiro Essentials General Diagnosis > General > Flashcards

Flashcards in General Deck (294)
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1

History of the Presenting Complaint
O, M, P, P, P, Q, R, S, S, T, A

Onset
Mechanism of injury
Previous care: Did you have any treatment for this? If so, what? Was it helpful?
Provocative factors
Palliative factors
Quality
Radiation
Site
Severity: how does this complaint affect your daily living activities
Timing
Associated symptoms

2

Past medical history
S, L, I, M, H, D

Serious Illness: What and when
Last physical exam: When? Anything noteworthy?
Injuries/accidents/trauma: what and when?
Medications: What, how much, for what?
Hospitalizations/surgeries: When, why?
Diagnostic imaging: X-rays or images taken recently? What did they show

3

Family and social history:
M, C, F, D, E, A (CAGE), R, S, H, O, T, S

Marital status
Children
Family history
Diet
Exercise
Alcohol: cut down? annoyed by criticism of your drinking? Guilty about your drinking? Early morning eye opener drink?
Recreational drugs
Stress: 0-10 and what
Hobbies
Occupation
Tobacco use
Sleep

4

ROS
C, A, N, G, R, EENT, G, P, N, C, H, M, E

Constitutional: fatigue, weight loss, weight gain, fever
Allergy/immunological: Allergic? Sick easily/frequently? Take long to recover?
Neck: Problems in neck, swollen glands, neck stifness
GI: Nausea, vomiting, abdominal pain, diarrhea, constipaion? Colour of stool? Blood in stool? Jaundice? Black tarry stool?
Respiratory: Cough, SOB, chest pain?
EENT: eyesight, hearing, balance, problems swallowing
Genitourinary: problems with urine? Discharge from private parts? Wake up to pee? Dribble?
Psychological: sad? loss of interest? describe your mood
Integumentary: problems with skin? Itching, dark spots, sores?
Neurological: headaches? Dizziness? Lightheaded? Weakness? Numbness or tingling? Falls?
Cardiovascular: chest pain palpitations or ankle swelling
Hematological/lymphatic: Easy bruising? Lumps in armpit or groin?
Musculoskeletal: any pan in your muscle? Soreness? Stiffness? Cramps?
Endocrine: Increased thirst or intolerance to heat or cold? Any change in hat or shoe size?

5

Patient Agenda:
C, R, I, M, E, S

Concern: what bothers you most about this
Reason for visit
Ideas: What do you think is the cause of your problem?
Meaning to illness: if your body was trying to send you a message through this illness, what do you think your body would be trying to tell you?
Expectations: What would you like me to do for you today?
Support: what support do you have at home? Family? Friends? Finances? Faith?

6

What age of people get DJD? Disc herniations? Strain/sprain?

Old
Middle aged
Young

7

Do males or females more commonly get: Osteoporosis? AAA? SLE/RA? BPH?

Females
Males
Females
Males only

8

T/F: Obesity does not contribute to DJD, diabetes, hypertension?

False it so does

9

Which ethnic background is more likely to get sickle cell disease? Tay Sachs?

African
Ashkenazi Jews

10

Acute is how many months? Chronic? Which has a better prognosis?

<3 months
>6 months
Acute

11

What type of injury is likely to occur with a rear end collision? Rotation and extension or lateral bend and extension?

Whiplash
Facet problem

12

What type of injury is suspected if flexion aggravates pain? Lateral bend and extension?

Disc lesion
Facet problem

13

What type of injury is suspected if rest relieves pain? Not better with rest or NSAIDs?

Strain/sprain
Bone cancer

14

Burning is associated with what type of pathology? Deep dull ache?

Radiculopathy
Bone or muscle

15

Radiation pattern pathology for dermatomal? Loin to groin? Chest to left arm?

Radiculopathy
Kidney stones
MI

16

Pain worse at night pathologies?

Bone cancer or osteomyelitis

17

T/F Hyperflexion and hyperextension can cause vertebral fractures?

True

18

Lipitor side effect? Diuretics?

Muscle ache
Muscle cramp

19

Immunizations may be linked with what syndrome?

GBS

20

Foods rich in omega 6 make OA or RA worse?

RA

21

T/F alcohol abuse can lead to AVN, pancreatitis, psychological stress?

T

22

IV drug use can lead to what bone pathology?

Osteomyelitis

23

What drug can lead to an MI in a young adult?

Cocaine

24

Asbestosis = ??

mesothelioma

25

Miners are prone to getting?

Silicosis

26

Tobacco use increases your chance of getting which cancers?

Lung, bladder, esophageal cancers

27

Clay coloured stool is suggestive of what condition?

Pancreatic cancer

28

Blood in sputum is suggestive of?

TB or lung cancer

29

List the pathology associated with:
Silvery plaques
Butterfly rash
Red shin bumps

Psoriasi
SLE
Sacroidosis

30

Are muscle cramps associated with hypo or hyperparathyroidism?

Hypoparathyroidism